产科围术期子痫前期急性肺水肿的临床干预研究

目的:通过产科围术期干预,降低子痫前期急性肺水肿的发生率。方法:选择本院产科68例重度子痫前期剖宫产者,随机分为干预组(33例)和对照组(35例),对照组给予解痉治疗,干预组在此基础上于产后予利尿治疗,比较两组手术前后血氧饱和度、呼吸频率、心率、平均动脉压及围术期急性肺水肿发生率等指标。结果:干预组术后血氧饱和度(98.30±1.40)%与对照组(93.57±2.76)%相比,差异有统计学意义(P<0.05)。干预组术后呼吸频率及心率分别为19.61±1.73次/分、85.33±11.98次/分,均低于对照组的23.17±3.97次/分、104.31±13.11次/分,差异有统计学意义(P<0.05)。干预组术后尿量为248.45±32.76ml/h,明显多于对照组的97.20±26.49ml/h(P<0.01)。干预组术后平均动脉压为102.79±9.58mmHg,比对照组的117.06±8.20mmHg明显下降(P<0.05)。干预组术后胶体渗透压为17.66±3.17mmHg,明显高于对照组的13.65±4.17mmHg,差异有统计学意义(P<0.05)。干预组围术期急性肺水肿发生率为3.03%,明显低于对照组的19.44%(P<0.05)。结论:通过围术期干预治疗,可改善子痫前期剖宫产者肺功能,降低急性肺水肿的发生率。

Perioperative intervention on acute pulmonary edema in severe preeclampsia patients

Objective:To reduce the incidence of acute pulmonary edema by perioperative intervention on acute pulmonary edema in preeclampsia patients.Methods:Sixty-eight patients with severe preeclampsia who planned to experience a cesarean delivery were randomly divided into the intervention group(n=33)and the control group(n=35).During the perioperative period,the patients in the control group were given magnesium sulfate.Besides this spasmolytic drug,the patients in the intervention group were given diuretic treatm...